摘要
目的分析第二轮（2008--2011年）艾滋病综合防治示范区（简称示范区）艾滋病综合防治工作质量指标完成情况及艾滋病防治效果。方法收集全国艾滋病综合防治信息系统数据，选择全人群检测比例、阳性配偶检测比例作为扩大HIV抗体检测领域的主要工作质量分析指标，抗病毒治疗比例、最近6个月感染者cD4细胞检测比例作为推动抗病毒治疗领域分析指标，暗娼干预比例和吸毒人群干预比例作为扩大高危行为人群干预领域分析指标。计算和分析2008--2011年全国309个示范区主要指标完成情况，并进行比较。结果2008--2011年，示范区全人群检测比例的中位数分别为1．8％、2．5％、3．2％和5．5％，阳性配偶检测比例的中位数分别为80．9％、85．7％、91．8％和100．0％，抗病毒治疗比例的中位数分别为60．0％、66．7％、76．1％和92．0％，最近6个月感染者CD4检测比例的中位数分别为27．7％、45．4％、58．6％和75．3％，暗娟检测比例的中位数分别为43．8％、67．8％、73．3％和90．9％，吸毒人群干预比例的中位数分别为18．2％、24．0％、34．0％和72．4％。与2008年底相比，2011年底全人群检测比例、阳性配偶检测比例、抗病毒治疗比例、最近6个月感染者CD4细胞检测比例、暗娼干预比例和吸毒人群干预比例6项指标中分别有98．4％（304／309）、98．3％（286／291）、94．O％（281／299）、93．5％（288／308）、91．8％（279／304）和90．O％（223／247）的示范区取得了进步。与全国平均值相比，2008年底示范区抗病毒治疗比例、最近6个月HIV感染者CD4细胞检测比例和暗娼干预比例3项指标平均值略低于全国平均值（全国平均值分别为66．9％、17．9％和30．9％），全人群检测比例、阳性配偶检测比例和吸毒人群干预比例3项指标平均值高于全国平均值（全国平均值分别为3
Objective To analyze the key indicators of China Comprehensive AIDS Response Program（China CARES） and the effects of this program during 2008 and 2011. Methods Data were obtained from National AIDS Comprehensive Prevention and Control Information System. The general population HIV test rate and spouse of people living with HIV or AIDS（PLWHA） HIV test rate were chosen as the indicators for HIV testing expansion;anti-retroviral therapy（ART） coverage and PLWHA CD4 test rate during the past 6 months as the indicators for treatment expansion ; femal sex worker （FSW） intervention coverage and injection drug users （IDU） intervention coverage as the Indicators for behavior intervention expansion. The Key working quality indicators of 309 program sites were calculated and the results were compared. Results During 2008 and 2011, for China CARES, the Median of general population HIV test rate were 1.8% , 2. 5% , 3.2% and 5.5% , the Median of spouse of PLWHA HIV test rate were 80. 9%, 85.7%, 91.8% and 100. 0% ,the Median of ART coverage were 60. 0%, 66. 7%, 76. 1% and 92. 0%, the Median of PLWHA CD4 test rate during the past 6 months were 27.7%, 45.4%, 58. 6% and 75.3%, the Median of FSW intervention coverage were 43.8% , 67.8%, 73.3% and 90. 9% ,the Median of IDU intervention coverage were 18.2% ,24. 0% ,34. 0% and 72. 4%. The indicators of China CARES increased steadily from 2008 to 201l in HIV testing expansion, treatment expansion and behavior intervention expansion; Compared to 2008, the percentage of the China CARES which had great progress of the 6 indicators were 98.4% （ 304/309 ）, 98.3% （ 286/291 ）, 94. 0% （ 281/299 ） , 93.5% （ 288/308 ） , 91.8% （279/304） and 90.0% （223/247）. in 2008, 3 indicators which were ART coverage, PEWHA CIM test rate during the past 6 months and FSW intervention coverage were lower than national average （ 6. 9%, 17.9% and 30. 9% ）, the general population HIV test rate, spouse of PLWHA HIV test rate and IDU intervention coverage were higher than
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2012年第12期1095-1098,共4页
Chinese Journal of Preventive Medicine
关键词
获得性免疫缺陷综合征
质量指标
卫生保健
艾滋病综合防治示范区
Acquired immuodeficiency syndrome
Quality indicators, health care
China comprehensive AIDS response program
